Clinical Practice Student Community & Specialist Clinic Policy & Procedure Manual

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Clinical Practice Student Community & Specialist Clinic Policy & Procedure Manual
Clinical Practice
         Student Community & Specialist Clinic
              Policy & Procedure Manual

The Australian Shiatsu College (ASC) aims to provide contemporary Shiatsu and Oriental
Therapies education and training in an environment that will enhance the provision of Shiatsu and
Oriental Therapies to meet client needs.
Table of Contents
1      Introduction to Clinical Practice .................................................................................................. 4
    1.1       Level One Shiatsu and Oriental Therapies Clinical Practice Framework ........................... 4
    1.2       Level Two Shiatsu and Oriental Therapies Clinical Practice Framework. ......................... 5
2      Legal and Ethical. ........................................................................................................................ 6
    2.1       Purpose ................................................................................................................................ 6
    2.2       Scope ................................................................................................................................... 6
    2.3       Responsibility ...................................................................................................................... 6
    2.4       Requirements ....................................................................................................................... 6
3      Duty of Care ................................................................................................................................ 7
4      Professional Conduct ................................................................................................................... 9
5      Hygiene ........................................................................................................................................ 9
6      Confidentiality ........................................................................................................................... 11
7      Patient Records .......................................................................................................................... 11
8      Advertising and Intellectual Properties ..................................................................................... 11
9      Goods and Services Tax ............................................................................................................ 13
10 Quality Assurance...................................................................................................................... 13
11 Breach of Acts, Regulations, By Laws or Code of Ethics ......................................................... 13
12 Clinic Risk Assessments:........................................................................................................... 14
    12.1      Barefoot, Classical or Zen Shiatsu .................................................................................... 15
    12.2      Cupping ............................................................................................................................. 15
    12.3      Dietary Therapeutic Advice............................................................................................... 16
    12.4      General Risk Assessment .................................................................................................. 16
    12.5      Guasha ............................................................................................................................... 17
    12.6      Moxa .................................................................................................................................. 17
    12.7      Sotai ................................................................................................................................... 18
    12.8      Tsubo / Eight extra meridian points .................................................................................. 18
13 Student Clinic Privacy Policy .................................................................................................... 19
    13.1      Policy Statement ................................................................................................................ 19
    13.2      Collection of information .................................................................................................. 19
    13.3      Use and Disclosure ............................................................................................................ 20
    13.4      Information Quality ........................................................................................................... 20
    13.5      Storage ............................................................................................................................... 20
    13.6      Access to Personal Information ......................................................................................... 20
    13.7      Amendment of Personal Information ................................................................................ 21
14 Infection Control Policy ............................................................................................................ 22
    14.1      Policy statement ................................................................................................................. 22
    14.2      Infection Control Procedure: ............................................................................................. 23
       14.2.1         General............................................................................................................. 23
14.2.2         Blood and/or Body Fluid Spills or Contact ..................................................... 23
       14.2.3         Clinic Clean-up Procedure: ............................................................................. 24
15 Student Clinic Privacy Consent Form ....................................................................................... 27
16 Student Clinic Client History .................................................................................................... 28
17 Health Assessment Record ........................................................................................................ 28
18 Shiatsu Clinic Feedback ............................................................................................................ 28
References: ........................................................................................................................................ 28
103 Evans St Brunswick VIC 3056
                                                                    www.australianshiatsucollege.com.au
                                                                    info@australianshiatsucollege.com.au
                                                                                             (03) 9387 1161

1 Introduction to Clinical Practice
   1.1 Level One Shiatsu and Oriental Therapies Clinical Practice Framework
   Student, Community & Specialist Clinics involves:
      1. Treating a diverse range of clients, including:
              a. Males
              b. Females
              c. LGBTIQ+
      2. Connecting with clients
      3. Implementing and practicing WH&S and infection control processes and procedures and
         working within the COVID Safe Plan of the ASC.
      4. Assessing the health needs of clients by analysing patterns & assessing signs and symptoms
      5. Identifying clients presenting conditions by applying the 8 principles of diagnosis & 4 methods
         of assessment
      6. Identifying and working with client limitations
      7. Developing treatment plans
      8. Delivering integrated shiatsu treatment
      9. Appling oriental therapies as appropriate to client presentations and treatment plans
      10. Systematically monitoring clients progress to confirm clinical impression
      11. Combining historical and clinical data for differential assessment and prognosis
      12. Monitoring treatment plans and adjusting according to identified need and treatment response
      13. Referring clients when/if identified client needs are outside of scope of practice or meet other
          criteria for referral.
      14. Maintaining privacy and confidentiality
      15. Working with professional integrity and ethics
      16. Adhering to legal and regulatory requirements
      17. Utilising effective interpersonal and professional communication skills
      18. Maintaining professional boundaries
      19. Working within defined scope of practice
      20. Conducting professional research
      21. Actively engaging in supervision as a professional responsibility

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                                                                                       (03) 9387 1161

   1.2 Level Two Shiatsu and Oriental Therapies Clinical Practice Framework.
   Student, Community & Specialist Clinics involves:
         1. Treating a diverse range of clients, including:
               I.    Males
               II.   Females
              III.   Children
              IV.    People who are ageing
              V.     People with mental health issue
              VI.    People from diverse backgrounds including LGBTIQ+
         2. Connecting with clients
         3. Implementing and practicing WH&S and infection control processes and procedures
            and working within the COVID Safe Plan of the ASC.
         4. Assessing the health needs of clients by analysing patterns & assessing signs and
            symptoms
         5. Identifying clients presenting conditions by applying the 8 principles of diagnosis & 4
            methods of assessment
         6. Identifying and working with client limitations
         7. Developing treatment plans
         8. Delivering integrated shiatsu treatment
         9. Appling oriental therapies as appropriate to client presentations and treatment plans
         10. Systematically monitoring clients progress to confirm clinical impression
         11. Combining historical and clinical data for differential assessment and prognosis
         12. Monitoring treatment plans and adjust according to identified need and treatment
             response
         13. Referring clients when/if identified client needs are outside of scope of practice
         14. Developing and maintaining client files
         15. Maintaining privacy and confidentiality
         16. Working with professional integrity and ethics
         17. Adhering to legal and regulatory requirements
         18. Utilising effective interpersonal and professional communication skills
         19. Maintaining professional boundaries

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         20. Working within defined scope of practice
         21. Conducting professional research
         22. Providing First Aid care when required
         23. Actively engaging in supervision as a professional responsibility

2 Legal and Ethical.
   2.1 Purpose
   The purpose of the ASC Legal and Ethical requirements are to ensure compliance with Law,
   Ethics and the Shiatsu & Oriental Therapies Industry Best Practice.

   2.2 Scope
   The scope of this procedure is the practice of the Diploma of 'Shiatsu & Oriental Therapies'
   including but not limited to diagnosis and treatment using Shiatsu techniques. This may
   include the use of Zen Shiatsu, Classical Shiatsu, Barefoot Shiatsu, Moxa, Tsubo, Sotai,
   Cupping, Guasha, and Dietary Therapeutics.

   2.3 Responsibility
   It is the responsibility of the Shiatsu Therapist, ASC Supervisor, and the students to uphold the
   true spirit of Shiatsu and Oriental Therapies and only use the skills that have been taught in
   the ‘Diploma of Shiatsu & Oriental Therapies HLT502215'.

   2.4 Requirements
   To comply with the Legal and Ethical Requirements of Government State, Territories, and
   National Legislative requirements and the Shiatsu Association of Australia (STAA) guidelines,
   the following will be adopted by the Shiatsu Therapists and students.
        1. A Shiatsu Therapist will hold a full current membership of a relevant association to
           ensure that they keep up to date with any changes to the Code of Standards and
           Ethics of the Association, and any compliance or changes of compliance to
           Legislation Governing the practice of Shiatsu and Oriental Therapies.
        2. Shiatsu Therapists and students will conduct themselves in a professional manner at
           all times in order to uphold the true spirit of Shiatsu and Oriental Therapies, to
           protect and enhance the reputation of the Shiatsu Industry, and protect the health,
           safety and welfare of the clients.
        3. Shiatsu Therapists will be active in participation with an Association to enhance the
           standard and professionalism of the practice of Shiatsu and Oriental Therapies.

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                                                                                      (03) 9387 1161

3 Duty of Care
To ensure the highest level of care to clients and the general public the following guidelines will be
adopted by the College:
   1. Any ASC staff, student, or any other Therapist working in the place of work “The Australian
      Shiatsu College” will be required to demonstrate the highest level of professionalism.
   2. To ensure a high level of Duty of Care to ASC staff, students, Therapists, and Clients and
      members of the general public regular risk assessments will be done at the College. These
      will also include updates to comply with any local council by-laws, including but not limited
      to firefighting equipment, access and egress of the College and any other hazards
      identified.
   3. The risk assessment will also cover any hazards to the health safety and welfare of the
      client during their treatment as well as related to COVID Safe Plans 2020 & 2021. A regular
      assessment of risk will be undertaken for the following treatments offered by the practice:
      Zen Shiatsu, Classical Shiatsu, Barefoot Shiatsu, Sotai, Tsubo, Guasha, Cupping, Moxa
      (see 12 Clinic Risk Assessment)
   4. All risk assessments herein will be used in accordance with Section 21.2.(e) "Instruction
      and Training "OH&S Act 2004 Victoria, All new employee's, students, or Sole Trader
      Therapist's working or studying at the workplace will undertake training into the risk
      assessment prior to commencement of work or studying at the place of work or study.
   5. The College has developed a set of guideline protocols to ensure Duty of Care and best
      practice for the clients.
   6. All Employees will be covered under the relevant Act's Regulation's States and Territory's &
      National legislative requirements.
   7. Employees will be covered for $20 million Public Liability whilst in the employment of the
      Practice.
   8. Shiatsu Therapists that work in the College clinic, will have their own Public and Products
      Liability Insurance for $20 million and Professional indemnity insurance. A copy of their
      certificate of currency needs to be supplied before treating any clients at the College, a
      current copy of the policy to the College office prior to treating any clients.
   9. All clients are to be made aware of the treatment they are about to receive and consent of
      the client obtained. (See 19. Health Assessment Record)
   10. All clients will be required to fill out a Health Assessment Record form. (See 18. Health
       Assessment Record).
   11. Shiatsu Therapists and students will only give treatments and advice where they are
       qualified to do so.
   12. Shiatsu will not be offered as an alternative to Western Medicine but as a complementary
      therapy.

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                                                                                     (03) 9387 1161

  13. Shiatsu Therapists or students will not comment to the client on instruction, prescriptions or
      surgical recommendation made by a Doctor.
  14. Shiatsu Therapists or students will not offer herbal remedies or any other medications to a
      client within the ASC Clinic.
  15. Shiatsu Therapist or students shall work within their qualification and should refer clients
      and co-operate with other health care professionals as appropriate. If a Shiatsu Therapist
      becomes aware of a disorder not covered by the clients Doctor, a referral to the Doctor with
      the client’s consent should be sought prior to sending a referral letter to the Doctor.

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                                                                 info@australianshiatsucollege.com.au
                                                                                       (03) 9387 1161

4 Professional Conduct
Professional Conduct and Professional Boundaries must be kept within the Legal and Ethical
framework of Government State, Territories, or Commonwealth Therapeutic Act and Regulations
   1. The Shiatsu Therapist or students will only work within his/her/their therapy disciplines in
      which they hold a qualification and will only use techniques covered by their own
      professional indemnity insurance.
   2. The Shiatsu Therapist or students will treat the clients with honesty, courtesy, respect,
      dignity, and discretion.
   3. The Shiatsu Therapist or students focus will be on the client’s health at all times.
   4. The Shiatsu Therapist or students must never claim to cure.
   5. The Shiatsu Therapist or students will explain the possible therapeutic benefits to the client
      but must never guarantee a cure.
   6. The Shiatsu Therapist or students will ensure that they are medically, physically and
      psychologically fit to practice.
   7. The Shiatsu Therapist or students will not treat a client if under the influence of alcohol,
      drugs, or other substances that would impair their judgment.
   8. The Shiatsu Therapist or students will not smoke tobacco products in the clinic.
   9. The Shiatsu Therapist or students will uphold the true spirit of the Shiatsu Association of
      Australia and at no time take part in or promote any activity verbal or otherwise that will
      reflect improperly or denigrate the practice of Shiatsu whether in a community forum or in
      professional circles.
   10. The Shiatsu Therapist or students will be made aware of Commonwealth Therapeutic Act
       and familiarize themselves to its legal content.
   11. The Shiatsu Therapist or students will make themselves aware and abide by all
       Commonwealth State, Territory, or local laws which apply to the practice of Shiatsu.

5 Hygiene
1. The Shiatsu treatment room will be of a high health standard and will comply with State and
   any Local Government Laws and current ASC COVID Safe Plans.
2. The Shiatsu Therapist or students will provide toilet and washing amenity for their clients when
   practicing at home or at the college and adhere to current ASC COVID Safe Plans.
3. The Shiatsu Therapist or students will provide clean and fresh linen for each client and adhere
   to current ASC COVID Safe Plans.

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                                                                                       (03) 9387 1161

4. The Shiatsu Therapist or students will ensure any treatment accessories e.g. cups, Guasha
   tools, Moxa Tiger warmers etc. will be sterilised after each use using recommended practises
   and adhere to current ASC COVID Safe Plans.
5. The Shiatsu Therapist or students will themselves practice good hygiene before and after each
   treatment and adhere to current ASC COVID Safe Plans.
6. The Shiatsu Therapist or students will have the right to refuse treating a client if he/she
   believes there is a possibility of infection or cross contamination of disease.

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                                                                                     (03) 9387 1161

6 Confidentiality
  1. The Shiatsu Therapist or students shall respect the confidentiality of the client.
  2. Any records kept by the therapist or student, will be kept in a secure place and will only be
     used by them.
  3. Client records are to be kept confidential at all times and access restricted to the treating
     therapist/student.
  4. The Shiatsu Therapist or students will not discuss the client’s medical history with anyone
     including other therapists even if referring the client to another therapist or health
     professional unless written consent is obtained by the client to do so.
  5. If the Shiatsu Therapist or students receives a legal request or legal writ from a court of law
     to provide medical history of their client the therapist may seek legal advice prior to
     releasing any such records.

7 Patient Records
  1. The Shiatsu Therapist or students will maintain a high standard of record keeping. This will
     include:
      1.1. Name, address, telephone numbers (including next of kin), and date of birth.
      1.2. Details of medical health history.
      1.3. Dates and details of treatment given
      1.4. Details of any dietary advice given
  2. Patient records are recorded in paper-based files, de-identified copies may be taken for the
     purpose of student learning and review
  3. Patient contact details and appointment times are stored on a secure password protected
     server for our online booking service.
  4. Patient records are archived after 3 years
  5. The disposal of the records will be done in a professional manner.

8 Advertising and Intellectual Properties
  1. The Shiatsu Therapist or students will not claim to have any exclusive rights to any secret
     methods of treatment.
  2. The Shiatsu Therapist or students will not use titles or descriptions which give the public the
     impression of medical or other qualifications which they do not hold.

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                                                                                   (03) 9387 1161

  3. The ASC shall only advertise in a professional manner, and will only advertise treatments to
     the public that the students are able to carry out.
  4. The Shiatsu Therapist or students shall only advertise that he/she/they is a member of an
     Association or use a logo of an Association, if they are a full member of an Association and
     have been given the approval from the Association to do so.
  5. The Shiatsu Therapist or students will not reproduce or use information or Intellectual
     Properties that are covered by copyright unless the holder of the copyright gives written
     permission.
  6. The Shiatsu Therapist will not reproduce written material that has been created by others
     and claim that it is their intellectual property.

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                                                               info@australianshiatsucollege.com.au
                                                                                     (03) 9387 1161

9 Goods and Services Tax
  1. The ASC Clinic receptionist or Shiatsu Therapist will issue receipts for treatments given.
  2. The ASC or Shiatsu Therapist will pay their good and service tax to the Australian taxation
     offices and will retain all goods and service tax documents for a period of seven years.
  3. ASC Students doing home treatments will not charge clients.

10 Quality Assurance
  1. The ASC will ensure for its students that all products purchased for use in treatments are of
     good quality and are not damaged; if any product is defective the ASC will notify the
     supplier or manufacture of the problem and will keep records of the defective items e.g.
     (cups for cupping treatment).
  2. Shiatsu Therapist are to provide their own products for use in the clinic.
  3. The Shiatsu Therapist or students will not knowingly use defective products when treating a
     client.
  4. Before clinic the Shiatsu Therapist or students will check any products that they plan to use
     for defects. If defects are found they will dispose of them immediately.
  5. The ASC will only purchase Australian Standard products where available to ensure the
     client does not receive injury due to poor quality or defective products during treatment.

11 Breach of Acts, Regulations, By Laws or Code of Ethics
  1. The ASC will comply with all relevant legislative requirements that apply to the practice of
     Shiatsu and will make available to the Therapist or students all current legislation that
     applies to the practice of shiatsu. This will be done by having hard copies of all applicable
     legislation available in the ASC office or via a Government law web site.
  2. Any Therapist or students who knowingly breaches an Acts, Regulations, Local Laws or
     Code of Ethics will be subject to action against them prescribed in the above Laws and
     Codes.
  3. The ASC provides instruction and training to students on the laws that govern the practice
     of Shiatsu in the Diploma of Shiatsu and Oriental Therapies.
  4. The ASC is committed to Australian best practice for its clients and members of the public
     and will continually review its processes to maintain a high standard of treatment.

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12 Clinic Risk Assessments:
Clinic risk assessments have been developed to ensure compliance with current legislation and
Australian Standards, this will be regularly reviewed in consultation with staff for its effectiveness
and compliance.

Please Note:
   1. During Student Clinic Level 1 and Level 2, the Supervisor is ultimatley responsible for the
      safety of the clients and students.
   2. During Practitioner Clinic, the Practitioner is responsible for the safety of their clients and
      themselves.
   3. The word Therapist is used to describe a student or practitioner.

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   12.1 Barefoot, Classical or Zen Shiatsu
                                   Risk
 Item       Hazards/Risks        Priority                               Controls
                                  Score
   1    Existing injury which        3      •   As part of the diagnosis ask if there are any pre-existing
        could be exacerbated                    injuries.
        by the treatment                    •   Make sure client knows that if anything is uncomfortable,
                                                causes pain that they tell the therapist so that the treatment
                                                can be modified.
                                            •   Therapist uses caution treating around the injured sight.
                                            •   Use of appropriate meridians and points to treat client.
                                            •   Appropriate pressure is applied.

   2    Therapist applies too               •   Therapist is to check in with the client on the pressure
        much pressure and                   •   Be aware of client’ s limitations and to moderate the
        causes a                                treatment in accordance
        fracture/break/sprain

   12.2 Cupping
                                   Risk
 Item       Hazards/Risks        Priority   Controls
                                  Score

   1    Fire that could burn a       3      •   All equipment is placed on a tray
        client or set fire to               •   The methylated spirits is in a non-spill container that the
        something.                              forceps can be entered and squeezed on the side to
                                                remove excess, and has a secure lid.
                                            •   The cotton on forceps is securely fixed.
                                            •   The equipment for cupping is on a tray away from the
                                                client, and within reach of the therapist.
                                            •   When dipping into the methylated spirits, ensure that
                                                there is no excess liquid, it is not dripping.
                                            •   That the cotton swab with methylated spirit is lit away
                                                from the client to avoid burns, on a tea light candle.
                                            •   The lit cotton swap is extinguished after use, and not put
                                                near an open flame (tea candle).
                                            •   When not in use the Methylated spirts container is
                                                secured.
                                            •   Make sure that tea candle is extinguished when not
                                                needed

   2    Infection / Cross            4      •   See below 14.2.3 Clinic Clean-up Procedure
        Contamination from
        cups

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                                     Risk
 Item       Hazards/Risks          Priority   Controls
                                    Score

   3    Allergic reaction to          4       •   Ensure you ask the client if they are allergic to any
        liniments or oils                         substances
                                              •   Consent is obtained via the client before using any
                                                  substance.

   12.3 Dietary Therapeutic Advice
                                     Risk
 Item       Hazards/Risks          Priority                              Controls
                                    Score
   1    Dietary advice may be         5       •   Ensure that the client understands that they are to
        cause problems                            discontinue any diet advice if it is causing problems, and
                                                  to contact the college if symptoms persist.

   2    The therapist giving          6       •   Therapists only give advice that they are qualified to give
        advice that they are                      within their scope of practice.
        not qualified to give                 •   Therapists do no give herbal or other alternative
                                                  medicine advice.

   12.4 General Risk Assessment
                                     Risk
 Item       Hazards/Risks          Priority                              Controls
                                    Score
   1    Slippery floors after         4       •   Clean area (mopping, towels to remove fluid)
        spills                                •   Make sure there is a sign warning people adequately
                                                  displayed

   2    Transferable diseases         5       •   Ensure amenities are clean and without risk of infection.
        due to hygiene.                       •   Have liquid soap available and paper hand towels
                                                  available.

   3    Fire in kitchen due to        3       •   Stove checked before building locked to make sure all
        gas stove                                 turned off

   4    An unknown person in                  •   There should always be at least 2 people in the building
        the building, or lurking                  when locking up (Supervisor and student; or 2
        outside when locking                      Practitioners)
        up                                    •   All rooms to be checked that they are vacated
                                              •   All fans, heaters, stoves, and urn are to be checked that
                                                  they are off.

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                                   Risk
 Item       Hazards/Risks        Priority                               Controls
                                  Score
   5    Only clinic in the           3      •   Last Therapist to receive their client, will lock the front
        building and no                         door.
        reception – could have              •   First Therapist to finish will open the front door.
        an unwanted person in
        the building

   6    Allergic reaction to         4      •   Ensure you ask the client if they are allergic to any
        liniments or oils                       substances
                                            •   Consent is obtained via the client before using any
                                                substance.

   12.5 Guasha
                                   Risk
 Item       Hazards/Risks        Priority                               Controls
                                  Score
   1    Allergic reaction to         3      •   Ensure you ask the client if they are allergic to any
        liniments or oils                       substances
                                            •   Consent is obtained via the client before using any
                                                substance.

   12.6 Moxa
                                   Risk
 Item       Hazards/Risks        Priority                               Controls
                                  Score
   1    Fire that could burn a       3      •   All equipment is placed on a tray
        client or set fire to
        something                           Cones
                                            • Ensure cones are well compacted.
                                            • Light moxa cones using incense stick.
                                            • Therapist needs to keep an eye on the burning cones
                                            • Remove moxa cones when client feels the heat, or at
                                               most has burnt 2/3 and put in bowl of water
                                            • Do not burn moxa cones down to the skin.

                                            Moxa Stick
                                            • Ash moxa stick often so it doesn’t fall on client.
                                            • Moxa cones that have been used are placed in bowl of
                                               water to extinguish

                                            Tea Candle
                                            • Make sure that tea candle is extinguished when not
                                               needed

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                                  Risk
 Item       Hazards/Risks       Priority                               Controls
                                 Score
   2    Infection / Cross            3     •   See below 14.2.3 Clinic Clean-up Procedure
        Contamination

   12.7 Sotai
                                  Risk
 Item       Hazards/Risks       Priority                               Controls
                                 Score
   1    Existing injury which   6          •   As part of the diagnosis ask if there are any pre-existing
        could be exacerbated                   injuries and any joint replacement/surgeries.
        by the treatment                   •   Make sure client knows that if anything is uncomfortable,
                                               causes pain that they tell the therapist so that the treatment
                                               can be modified.
                                           •   Therapist uses caution treating around the injured sight.
                                           •   Use appropriate meridians and points to treat client.
                                           •   Use only Sotai techniques that the therapist has been
                                               taught

   12.8 Tsubo / Eight extra meridian points
                                  Risk
 Item       Hazards/Risks       Priority                              Controls
                                 Score
   1    Existing injury which        6     •   As part of the diagnosis ask if there are any pre-existing
        could be exacerbated                   injuries.
        by the treatment                   •   Make sure client knows that if anything is uncomfortable,
                                               causes pain that they tell the therapist so that the
                                               treatment can be modified.
                                           •   Therapist uses caution treating around the injured sight.
                                           •   Use appropriate meridians and points to treat client.
                                           •   Appropriate pressure is applied

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                                                                                      (03) 9387 1161

13 Student Clinic Privacy Policy
   13.1 Policy Statement
   The ASC takes privacy seriously. Privacy protection and confidentiality of health information is
   essential for quality health care and we are committed to protecting the privacy and
   confidentiality of the information we handle about our clients.
   This policy explains:
      •   How we collect, store, use and disclose client personal information.
      •   How a client may access their personal information.
      •   How the ASC protects the quality and security of a client’s personal information.
      •   How a client may seek correction of any personal information that the ASC hold.
      •   How a client may make a complaint about the handling of their personal information.
  In addition to our professional and ethical obligations, at a minimum, our clinic handles client
  personal information in accordance with federal and state privacy law. This includes complying
  with the federal Australian Privacy Principles (APPs) forming part of the Privacy Act 1988 and
  the Victorian Health Privacy Principles (HPPs) forming part of the Victorian Health Records Act
  2001.
  More information about the APPs and HPPs can be found on the Australian Information
  Commissioner’s website www.oaic.gov.au or in hard copy on request from the ASC office.

   13.2 Collection of information
  The ASC clinic collects and holds personal information about clients so that Shiatsu Therapists
  or students may properly assess, diagnose, treat and be proactive in client’s health care
  needs. The type of personal information that ASC collect may include:
      •   Personal details (name, address, date of birth, email address, phone numbers);
      •   Medical history;
      •   Notes made during the course of a medical consultation;
      •   Referral to other health services providers;
      •   Results and reports received from other health service providers.
  Wherever practicable we will collect this information from a client personally - either at the
  clinic, over the phone, via written correspondence or via email.
  In some instances this information might be collected from other sources such as referring
  doctors, treating specialists, pathology, radiology, hospitals or other health care providers.

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  In an emergency, the name nominated on the ‘Student Clinic Client History’ form will be
  contacted.

   13.3 Use and Disclosure
   A client’s personal information will only be used, or disclosed, for purposes directly relating to
   providing the client with quality health care, or in ways a client would reasonably expect it to
   used, in order to provide the client with a Shiatsu. This includes use or disclosure:
         1. To the professional team directly involved in the client’s health care, including
            treating doctors, pathology services, radiology services and other specialists outside
            this clinic. For example, this may occur through referral to other doctors when
            requesting medical tests or in the report or result returned to us following the
            referrals;
         2. To the ASC clinic’s administrative staff for administrative tasks necessary to run the
            clinic. Our staff are trained in the handling of personal information;
         3. Where required by law, for example, pursuant to a subpoena; and/or
         4. To assist with training and education of ASC student Shiatsu practitioners.
  Our College (Clinic) does not intend to disclose your personal information to any third party
  without permission.

   13.4 Information Quality
   We aim to ensure the information we hold about you is accurate, complete, up to date and
   relevant. To this end our staff may ask you to confirm that your personal details are correct
   when you attend a treatment. Please let us know if any of the information we hold about you is
   incorrect or not up to date.

   13.5 Storage
   Our clinic takes all reasonable steps to protect the security of the personal information we
   hold, by:
          1 Securing our premises;
          2 Using passwords on all electronic systems and varying access levels to protect
            electronic information from unauthorised interference, access, modification or
            disclosure; and storing hard copy records in secure filing cabinets or rooms that are
            accessible only to clinic staff.

     13.6     Access to Personal Information
   Under law you have a right to access personal information we hold about you. We ask that
   you put your request in writing. A fee for the retrieval and copying of your medical record may

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                                                                                      (03) 9387 1161

   be, charged in accordance with the schedule of fees specified in the Health Records
   Regulations 2008 (Vic), plus GST. This fee is not redeemable through Medicare.

   13.7 Amendment of Personal Information
   If you consider the information we hold about you is not correct, please contact the clinic in
   writing. You have the right to have any incorrect information corrected.
   What happens if you choose to withhold your personal information?
   You are not obliged to give us your personal information. However, if you choose not to
   provide the Practice with the personal details requested, it may limit our ability to provide you
   with full service. We encourage you to discuss your concerns with our reception staff prior to
   your first consultation or with your treating practitioner.
   What about use of personal information for direct marketing?
   Australian privacy law limits the use of personal information for direct marketing of goods and
   services. We do not use your personal information for direct marketing.
   What should I do if I have a privacy complaint?
   If you have a complaint regarding the way your personal information has been handled by our
   Practices, please put it in writing and address it to, Executive Manager (Quality and
   Compliance), 103 Evans St, Brunswick VIC 3056, Australia. We will acknowledge receipt of
   your complaint within 14 days, and endeavour to provide a full response within 30 days of
   receipt. Should you be dissatisfied with our response, you may lodge your written complaint
   with the Victorian Privacy Commissioner at https://www.privacy.vic.gov.au and/or the Victorian
   Health Services Commissioner at http://www.health.vic.gov.au. If you have a query regarding
   our student clinic privacy policy, please contact our Executive Manager (Quality and
   Compliance), who will be happy to discuss the matter with you.

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                                                                                       (03) 9387 1161

14 Infection Control Policy
   14.1 Policy statement
        1. The Directors of the Australian Shiatsu College recognise that, as part of their
           responsibility to provide and maintain a safe and healthy workplace and learning
           environment, we need to implement treatment practices which minimise the
           likelihood of staff, students, teachers and clients being exposed to infectious
           diseases, blood or body fluids in the College / workplace.
        2. The ASC provides items of protective equipment to protect staff members, students,
           teachers and clients from exposures to airborne infections, blood or body fluids.
           These include:
             •   A variety of non-porous waterproof dressings for use by staff, students, teachers
                 and students with chapped or broken skin.
             •   Laundered linen for use on treatment futons – facecloths, pillowslips, sheets,
                 blankets, pillows etc.
             •   Soap, hot and cold water, cloth and paper handtowels/electric hand dryers for
                 effective hand washing
             •   A variety of latex or vinyl gloves in a range of sizes
             •   Household bleach
             •   Eye protection (safety glasses)
             •   Masks for mouth-to-mask resuscitation
        3. The Australian Shiatsu College does not seek to identify nor discriminate against any
           prospective or current staff member, student, teacher or client with suggested or
           actual HIV/AIDS or hepatitis or other communicable disease or infection.
        4. Any information regarding a staff member, teacher, student or client’s health or
           medical status will be treated in strictest confidence. No action will be taken in
           relation to communicable diseases or infection provided the staff member, teacher,
           student or client with communicable diseases is able to meet the required work
           performance standards, and medical opinion indicates their ongoing employment,
           enrolment or treatment does not constitute a threat to their health and safety, or the
           health and safety of others within the College, including the public.
        5. Staff, students and teachers who are chronic or short-term (e.g. influenza) carriers of
           any communicable disease are expected to act in ways which do not expose fellow
           members of the College community and clients to the risk of infection.

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   14.2 Infection Control Procedure:
        14.2.1 General
                1. Staff, students and teachers should avoid placing their hands (or other parts of
                   their body) where they may come in contact with infectious skin diseases,
                   airborne infections, blood or other body fluids. This means that you should not
                   treat, or be treated, if you are at risk of being infected.
                2. Staff, students and teachers should avoid treating or being treated when they
                   have an infectious disease. This means that you should not treat, or be
                   treated, if you are at risk of infecting your client, fellow student, staff member
                   or teacher.
                3. Each student is responsible for bringing their own face cloth for use in all
                   practical classes. You will not be permitted to participate in practical classes
                   unless you bring your own face cloth.
                4. Gloves must be worn whenever staff, students or teachers are likely to come
                   into contact with blood or body fluids or when handling anything contaminated
                   with blood or body fluids.
                5. Personal hygiene for all staff, teachers and students is essential. Hand
                   washing and hand care are important measures in infection control.
                6. Liquid hand alcohol cleansers are available at the College.
                7. Cups and spoons used during treatments are to be washed in hot, soapy
                   water after every use. If they have been in contact with blood or other body
                   fluid, they are to be cleaned with bleach as specified in the blood and/or body
                   fluid spill or contact procedure (below).
        14.2.2 Blood and/or Body Fluid Spills or Contact
                1. Blood and/or body fluid spills should be assessed and attended to
                   immediately, and a record kept in the First Aid Register Folder.
                2. When managing blood or body fluid spills:
                     i.     Gloves must be worn
                    ii.     Absorbent material such as paper towels or cloth should be used to
                            absorb the bulk of the spill. These materials should be disposed of in
                            sealed plastic bags after use.

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                    iii.        The area should then be cleaned and disinfected. Cleaning should be
                                done with detergent and water and gloves worn throughout the process.
                                Items should be washed and scrubbed to remove all visible contaminant.
                                Care must be taken to avoid splashing. Eye protection should be worn if
                                splashing is likely to occur. Household bleach, in water, (freshly prepared
                                at a concentration of 1%) is a suitable disinfectant.
                3. If a staff member, student, teacher or client has an exposure to blood or body
                   fluids, the following actions must be taken :
                           i.    Wash away the blood or body fluid with soap and water
                       ii.       If the eyes are contaminated, rinse them while open with tap water or
                                 saline;
                      iii.       If blood gets into the mouth, spit it out and then repeatedly rinse with
                                 water.
                4. After carrying out the First Aid measures outlined, the incident must then be
                   reported to one of the Directors of the College. All exposures must be
                   documented including the date and time of exposure, how the incident
                   occurred and the name of the source individual (if known).
                5. The Director will then refer the staff member, student, teacher or client
                   immediately to a doctor who will assess the risk of transmission and discuss
                   options for testing and treatment. Access to appropriate professional
                   counselling will also be provided.
                6. First Aid Records of staff members, students, teachers and clients who have
                   been exposed to blood or body fluids will be kept confidential.
        14.2.3 Clinic Clean-up Procedure:
        Students need to clean up all equipment that they have used:
               14.2.3.1 Lighters
                           i.    Students to provide own lighter for use in clinic

               14.2.3.2 Tea Candles
                           i.    Only to be used for the lighting of moxa sticks
                       ii.       Put on a tray when using
                      iii.       Extinguish immediately after use
                      iv.        Do not move till wax solidified
                       v.        If reusable put back on trolley, otherwise in clinic metal bin

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               14.2.3.3 Moxa
                       i.   Loose (Cones)
                               a. Unused moxa to go back into moxa tin on trolley
                               b. Used moxa to go into clinic metal bin
                      ii.   Moxa Stick
                               a. Extinguish using the moxa snuffer, wait till cold and remove
                                  debris. If not reusable put in clinic metal bin.
                               b. Empty snuffer in clinic metal bin.
                               c. Return snuffer and moxa stick to the clinic trolley
                     iii.   Moxa Box
                               a. All moxa removed from box and put into clinic metal bin.
                               b. Return moxa box to the clinic trolley
                     iv.    Incense stick
                               a. Extinguish and wait till cool before putting back on trolley.
                               b. Any debris to go into the clinic metal bin.
                      v.    Bowl
                               a. Floating moxa to be put in clinic metal bin
                               b. Water and contents to be drained in sink – debris removed and
                                  put in bin
                               c. Bowl to be washed and dried before putting back on the trolley.

               14.2.3.4 Cups
                     vi.    Clamp Scissors
                               a. Make sure cotton extinguished
                               b. Remove cotton wool and put in clinic metal bin.
                               c. Return to the clinic trolley.
                     vii.   Cups
                               a. Cleanse (1 part bleach to 5 parts water) for 20 minutes
                               b. Wash with warm soapy water
                               c. Dry with paper towelling
                               d. Return to the clinic trolley

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                                e. If contaminated with blood dispose in hazard bag
                    viii.   Methylated Spirits bottle
                                a. Make sure lid on tight
                                b. Return to the clinic trolley

               14.2.3.5 Guasha Spoon
                       i.   Cleanse (1 part bleach to 5 parts water) for 20 minutes
                      ii.   Wash with warm soapy water
                     iii.   Dry with paper towelling
                     iv.    Return to the clinic trolley
                      v.    If contaminated with blood dispose in hazard bag

               14.2.3.6 Trays
                       i.   To be washed and dried
                      ii.   Return to the clinic trolley

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                                                                                   (03) 9387 1161

15 Student Clinic Privacy Consent Form

The Privacy Act 1988 (Privacy Act) protects your personal information. Personal information is
information or an opinion that identifies you or could identify you. Some examples are your name,
address, telephone number, date of birth, medical records, bank account details and opinions
about you.
On 12 March 2014, changes to the Privacy Act commenced. These changes include a new set of
Australian Privacy Principles (APPs), which set out how private sector organisations and
Australian Government agencies (called entities), must handle your personal information. They
also include changes to the way your credit information can be collected and used and new
powers for the Office of the Australian Information Commissioner (OAIC) to resolve privacy
complaints and investigations.
The Australian Shiatsu College in adhering to these changes needs to provide you with the
opportunity to read the “Australian Shiatsu College’s Student Clinic Privacy Policy”

I, __________________________________________________________________
(Insert name)

have had the opportunity to read and understand the information contained in the Australian
Shiatsu College’s Student Clinic Privacy Policy.

Signed        ____________________________________________________________

Date          ___ / ___ / ________

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                                                                                             (03) 9387 1161

16 Student Clinic Client History
Shiatsu Therapists and students use the “Clinic Client History” form to record client details and consent.
This form is used during their first treatment or if the old form is more then a year old.
Filename: Clinic Client History Question Sheet.doc

17 Health Assessment Record
Shiatsu Therapists and students use the “Clinic Diagnosis Sheet” form to record details of diagnosis and
treatment. A new form is used for each treatment.
Filename: Clinic Diagnosis Sheet.doc

18 Shiatsu Clinic Feedback
Client feedback form.
Location: Supervised Clinical Practice Handbook (Level Two) under the title “Shiatsu Clinic
Feedback”

References:
   •   Health Records Act 2001 (Vic)
   •   Charter of Human Rights and Responsibilities Act 2006 (Vic)
   •   Information Privacy Act 2000
   •   Ombudsman Act 1973
   •   Public Records Act 1973

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